| NPI | 1326348087 |
|---|---|
| Doing Business As | HEALTHSERVE NORTH EAST |
| Entity Type | Organization |
| Authorized Contact | BRIAN K ELLERBY Chief Executive Officer 336-272-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2011-08-29 |